<form class="mb-20" method="get" action="{:\\think\\Url::build($Request.action)}">
    <input type="text" class="input-text" style="width:250px" placeholder="代理公司名称" name="COMPANY_NAME" value="{$Request.param.COMPANY_NAME}" >
    <input type="text" class="input-text" style="width:250px" placeholder="联系人姓名" name="CONTACTS_NAME" value="{$Request.param.CONTACTS_NAME}" >
    <input type="text" class="input-text" style="width:250px" placeholder="联系电话" name="CONTACTS_PHONE" value="{$Request.param.CONTACTS_PHONE}" >
    <input type="text" class="input-text" style="width:250px" placeholder="负责人" name="LEADER_NAME" value="{$Request.param.LEADER_NAME}" >
    <input type="text" class="input-text" style="width:250px" placeholder="证件号" name="CERTIFICATE_NO" value="{$Request.param.CERTIFICATE_NO}" >
    <input type="text" class="input-text" style="width:250px" placeholder="所属大区" name="REGION" value="{$Request.param.REGION}" >
    <input type="text" class="input-text" style="width:250px" placeholder="所属省" name="PROVINCE" value="{$Request.param.PROVINCE}" >
    <input type="text" class="input-text" style="width:250px" placeholder="所属市" name="CITY" value="{$Request.param.CITY}" >
    <input type="text" class="input-text" style="width:250px" placeholder="所属区" name="AREA" value="{$Request.param.AREA}" >
    <button type="submit" class="btn btn-success"><i class="Hui-iconfont">&#xe665;</i> 搜索</button>
</form>